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1962405928
JASON LEE ELLEN
JENKS, OK
NPI
1962405928
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: OK 2272)
Enumeration Date
2005-05-24
Last Update Date
2019-03-22
Business Address
Mr. JASON LEE ELLEN O.D.
244 S. GATEWAY PLACE SUITE 401
JENKS, OK 74037
Phone number: 918-747-2020
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Mailing Address
Mr. JASON LEE ELLEN O.D.
244 S. GATEWAY PLACE SUITE 401
JENKS, OK 74037
Phone number: 918-747-2020
Copy
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